急性重症胰腺炎患者肠内外营养支持的临床疗效比较  

Comparison of enteral and parenteral nutrition supporting treatment for severe acute pancreatitis patients

作　　者：陆霁[1] 周琨[1] 

机构地区：[1]上海市静安区中心医院普外科,上海200040

出　　处：《世界临床药物》2015年第2期100-103,共4页World Clinical Drug

摘　　要：目的比较肠内营养支持与全胃肠外营养支持对急性重症胰腺炎(SAP)患者的临床疗效。方法 2006年1月至2012年12月收治的SAP患者54例,其中接受肠内营养(EN组)和全胃肠外营养(TPN组)的患者分别为26例和28例。比较两组患者的营养状况、局部和全身的并发症、病死率、住院天数及费用情况。结果给予营养支持后,EN组临床疗效及营养状况改善评分均优于TPN组,住院天数(18±4 d)、住院费用(25114±852元)及相关并发症发生率(15.4%)均低于TPN组[分别为(26±6 d),(36501±1250元),46.4%],两组差异具有统计学意义(P<0.05)。结论 SAP患者接受肠内营养较全胃肠外营养临床疗效显著,可降低住院时间及费用,且无肝功能损害及血糖升高等并发症危险。Objective To compare the clinical therapeutic effects of enteral nutrition and parenteral nutrition in treating severe acute pancreatitis patients （SAP）. Methods A total of 54 patients with SAP admitted from January 2006 to December 2012 were divided two groups. 26 patients of group EN were given enteral nutrition support （EN group） and 28 patients of group TPN were given parenteral nutrition support （TPN group）. Nutrition status, complication, mortality rate, hospital stay length, hospital fees were analyzed and compared. Results In EN group, nutrition status, clinical effect were better than TPN group, and the hospital stay length, hospital fees, complication rate were lower （P〈0.05）. Conclusion Compared with total parenteral nutrition support, the enteral nutrition support shows obvious clinical effects, less hospital stay duration and fees, and no complication of liver function damage and elevated blood glucose.

关 键 词：急性重症胰腺炎(SAP) 肠内营养(EN) 全胃肠外营养(TPN) 

分 类 号：R576[医药卫生—消化系统] R459.3[医药卫生—内科学]